Abstract

Thesis

Extracorporeal Shock Wave Combined with Traditional Chinese Medicine Bone-setting Manipulation for External Humeral Epicondylitis: A Randomized Clinical Trial

Changsui Yu, Zifeng Xu*, Liguo Zhu, Xiaofeng Zhang, Zhongbao Yu, Fengyuan Zhan, Xin Yu, Shuren Wang, Kejian Lu, Junjie Li, Xinyue Zhang and Daoxiong Gong

Published: 23 July, 2024 | Volume 9 - Issue 3 | Pages: 037-043

Objective: The purpose of this study was to evaluate the clinical efficacy of extracorporeal shock waves combined with traditional Chinese medicine bone-setting manipulation for external humeral epicondylitis. 
Methods: Ninety-two patients with external humeral epicondylitis were randomly divided into an observation group and a control group. Patients in the control group were treated with extracorporeal shock waves while those in the observation group with traditional Chinese medicine bone-setting manipulation based on the control group. Patients in both groups were evaluated by the Visual Analogue Scale (VAS), Mayo Elbow Performance Score (MEPS), and Disabilities of the Arm, Shoulder, and Hand Questionnaire (DASH) before and after treatment. The inflammatory factors such as IL-6, IL-10, TNF-ɑ, and clinical outcomes were contrasted before and after treatment. 
Results: There were statistically significant differences in VAS score, MEPS score, and DASH score between the two groups before and after treatment (p < 0.05). The observation group exhibited a more pronounced improvement in each score compared to the control group. Post-treatment, the inflammatory factors of both groups were significantly lower than pre-treatment levels (p < 0.05), with the observation group showing a more noticeable decrease. The overall effectiveness of the observation group was higher than that of the control group, and the difference was statistically significant 
(p < 0.05).
Conclusion: The combination of extracorporeal shock wave therapy and traditional Chinese medicine bone-setting manipulation can effectively alleviate pain symptoms and improve dysfunction caused by external humeral epicondylitis, while also reducing inflammatory factor expression. This combined treatment may prove more effective than extracorporeal shock wave therapy alone.
Clinical Trial: Registration: ChiCTR2200066075.

Read Full Article HTML DOI: 10.29328/journal.jsmt.1001080 Cite this Article Read Full Article PDF

Keywords:

Extracorporeal shock wave; Traditional Chinese medicine bone-setting manipulation; External humeral epicondylitis; A randomized clinical trial

References

  1. Chen JX, Liu GH, Liu BZ, et al. Efficacy of centrifugal contraction training combined with extracorporeal shock wave therapy in the treatment of tennis elbow. Chin J Phys Med Rehabil. 2017;39(7):534–536.
  2. Zhao L, Kong LY, Ren YZ, et al. Advances in the study of humeral epicondylitis. J Pract Orthod. 2017;23(10):904–907.
  3. Krogh TP, Fredberg U, Stengaard-Pedersen K, Robin Christensen, Pia Jensen, Torkell Ellingsen. Treatment of lateral epicondylitis with platelet-rich plasma, glucocorticoid, or saline: a randomized, double-blind, placebo-controlled trial. Am J Sports Med. 2013;41(3):625-635. Available from: https://doi.org/10.1177/0363546512472975
  4. Rabago D, Lee KS, Ryan M, Chourasia AO, Sesto ME, Zgierska A, et al. Hypertonic dextrose and Morrhuate sodium injections (Prolotherapy) for lateral epicondylosis (tennis elbow): results of a single-blind, pilot-level, randomized controlled trial. PM R. 2013;92(7):587–596. Available from: https://doi.org/10.1097/phm.0b013e31827d695f
  5. Li X, Zhou K, Zhang E, Qi Z, Sun W, Xu L, et al. Therapeutic effect of electroacupuncture, massage, and blocking therapy on external humeral epicondylitis. J Tradit Chin Med. 2014;34(3):261-6. Available from: https://doi.org/10.1016/s0254-6272(14)60088-1
  6. Wang F, Liu JF, Zhang JT. Clinical observation on the treatment of humeral epicondylitis with external shock wave combined with thermal acupuncture in the external epicondyle and infraspinatus of the humerus. Chin J Phys Med Rehabil. 2022;44(4):331-333.
  7. Xing CY. Extracorporeal Shock Wave Therapy for Bone and Muscle Diseases. 2nd ed. Beijing: People’s Military Medical Press; 2007:1-4.
  8. Zhao D, Zhang F, Wang B, et al. Professional committee of shockwave medicine, Chinese society of research hospitals. guidelines for extracorporeal shock wave therapy for bone and muscle diseases in China (2019 edition). Chin J Front Med. 2019;11(4):1-10.
  9. Peng Z, Zhang M, Li Y, Feng Z. Treatment of lateral epicondylitis with acupuncture and glucocorticoid: A retrospective cohort study. Medicine (Baltimore). 2020;99(8):e19227. Available from: https://doi.org/10.1097/md.0000000000019227
  10. Xu ST, Ge BF, Xu YK. Practical Orthopaedics. 4th ed. Beijing: People’s Military Medical Publishing House; 2012:1919.
  11. Schulz KF, Altman DG, Moher D, et al. CONSORT Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials. PLoS Med. 2010;7(3).
  12. Beyazal MS, Devrimsel G. Comparison of the effectiveness of local corticosteroid injection and extracorporeal shock wave therapy in patients with lateral epicondylitis. J Phys Ther Sci. 2015;27(12):3755-3758. Available from: https://doi.org/10.1589/jpts.27.3755
  13. Dong PL, Tang XB, Wang J, et al. Efficacy of local injection of platelet-rich plasma in the treatment of humeral epicondylitis. Chin J Joint Surg. 2018;12(5):608-613.
  14. Fang ZY, Xiong L, Ch GA, et al. Clinical study of extracorporeal shock wave combined with muscle energy technique for the treatment of humeral epicondylitis. China Rehabilitation. 2016;31(5):362-364.
  15. State Administration of Traditional Chinese Medicine. Diagnostic and Efficacy Criteria for Chinese Medicine Illnesses. Nanjing: Nanjing University Press; 1994.
  16. Wang B, Wang YH, Li A, et al. Research progress of extracorporeal shock wave treatment for tendinopathy. Chin J Rehabilitation Med. 2021;36(10):1332-1336.
  17. Yao G, Chen J, Duan Y, et al. Efficacy of extracorporeal shock wave therapy for lateral epicondylitis: a systematic review and meta-analysis. Biomed Res Int. 2020;2020:1-8.
  18. Rinella L, Marano F, Paletto L, et al. Extracorporeal shock waves trigger tenogenic differentiation of human adipose-derived stem cells. Connect Tissue Res. 2018;59(6):561-573.
  19. Li XW, Shao XM, Tan KP, et al. A preliminary investigation on the treatment of Meridian tendon disease by combining warm acupuncture with five tiger tacking acupuncture. J Zhejiang Univ Tradit Chin Med. 2012;36(7):818-819.
  20. Santamato A, Beatrice R, Micello MF, Fortunato F, Panza F, Bristogiannis C, et al. Power Doppler Ultrasound Findings before and after Focused Extracorporeal Shock Wave Therapy for Achilles Tendinopathy: A Pilot Study on Pain Reduction and Neovascularization Effect. Ultrasound Med Biol. 2019;45(5):1316-1323. Available from: https://doi.org/10.1016/j.ultrasmedbio.2018.12.009
  21. Simplicio CL, Purita J, Murrell W, Santos GS, Dos Santos RG, Lana JFSD. Extracorporeal shock wave therapy mechanisms in musculoskeletal regenerative medicine. J Clin Orthop Trauma. 2020;11(Suppl3)–S318. Available from: https://doi.org/10.1016%2Fj.jcot.2020.02.004
  22. Zhou CL, Gao H, Liang Y, et al. An analysis of Fang J Q’s “Wu Hu Qin Yang” acupuncture method for treating Meridian tendon diseases. Chin J Tradit Chin Med. 2020;35(3):1316-1318.
  23. Cao JJ, Du JJ. 57 cases of epicondylitis of the humerus treated with snap acupuncture. Chinese Acupunc. 2020;40(8):885-886.
  24. Zhong CY, Hu XW. Efficacy of radiated shock wave combined with small needle knife Meridian-following treatment for recalcitrant external humeral epicondylitis. Zhejiang J Integrat Chin West Med. 2020;30(10):846-848.
  25. Zhou DY, Tao HH, Yang YQ, et al. Anti-inflammatory and analgesic mechanism of extracorporeal shock wave on musculoskeletal pain. J Pract Orthod. 2017;23(7):618-621+625.
  26. Yu B, Chen WH, Wang RW, et al. Efficacy of intraosseous patch combined with extracorporeal shock wave in the treatment of refractory external humeral epicondylitis. Chin J Phys Med Rehabil. 2016;38(5):381-383.
  27. Reed JA. Braddom’s Physical Medicine and Rehabilitation Medicine. 5th ed. Beijing: Science Press; 2018:322-324.

Figures:

Similar Articles

Recently Viewed

  • Environmental Factors Affecting the Concentration of DNA in Blood and Saliva Stains: A Review
    Divya Khorwal*, GK Mathur, Umema Ahmed and SS Daga Divya Khorwal*, GK Mathur, Umema Ahmed, SS Daga. Environmental Factors Affecting the Concentration of DNA in Blood and Saliva Stains: A Review. J Forensic Sci Res. 2024: doi: 10.29328/journal.jfsr.1001057; 8: 009-015
  • Why Down-managing Backlog Forensic DNA Case Entries Matters
    JH Smith* and JS Horne JH Smith*, JS Horne. Why Down-managing Backlog Forensic DNA Case Entries Matters. J Forensic Sci Res. 2024: doi: 10.29328/journal.jfsr.1001056; 8: 001-008
  • Scintigraphic non-invasive diagnosis of amyloid cardiomyopathy
    Laroussi Mohamed-Salem*, Tomás E Rodríguez-Locarno, Tatiana Moreno-Monsalve, Isabel Castellón-Sánchez, José F Contreras-Gutiérrez and Antonia Claver-Valderas Laroussi Mohamed-Salem*,Tomás E Rodríguez-Locarno,Tatiana Moreno-Monsalve,Isabel Castellón-Sánchez,José F Contreras-Gutiérrez ,Antonia Claver-Valderas. Scintigraphic non-invasive diagnosis of amyloid cardiomyopathy. J Cardiol Cardiovasc Med. 2019: doi: 10.29328/journal.jccm.1001058; 4: 156-158
  • Anomalies of coronary artery origin: About two cases
    Dioum M*, Sarr EM, Manga S, Mingou JS, Diack A, Diop AD, Bindia D, Diagne PA, Sarr AN and Diop IB Dioum M*,Sarr EM,Manga S,Mingou JS,Diack A,Diop AD,Bindia D,Diagne PA,Sarr AN,Diop IB. Anomalies of coronary artery origin: About two cases. J Cardiol Cardiovasc Med. 2019: doi: 10.29328/journal.jccm.1001051; 4: 117-119
  • Late discover of a traumatic cardiac injury: Case report
    Benlafqih C, Bouhdadi H*, Bakkali A, Rhissassi J, Sayah R and Laaroussi M Benlafqih C,Bouhdadi H*,Bakkali A,Rhissassi J,Sayah R,Laaroussi M. Late discover of a traumatic cardiac injury: Case report. J Cardiol Cardiovasc Med. 2019: doi: 10.29328/journal.jccm.1001048; 4: 100-102

Read More

Most Viewed

Read More

Help ?